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What if... the umbilical chord was strangling the baby before labor?

post #1 of 19
Thread Starter 
Last night my baby moved into a very strange position. Now, first of all, I am 35 weeks pregnant, so my baby is now taking up every possible inch of space, it seems. When he shifted into this position it was not only very uncomfortable for me, but it also made me worry because it seemed he could have just "fallen" into this position with my movements and I hadn't felt any fetal movement for a while, he seemed like he could be limp.
Personally, my boyfriend and I were both born with our umbilical chords wrapped around our necks and I guess I have this fear of that happening not just to my unborn child, but a fear that it's possible and how would anybody know until it's too late sometimes? I mean, I know it usually happens during labor (like it did with Steve and I), but it could happen at any time in the pregnancy since the babies all move around the entire time.
Anyways, I had built up a concern that my baby MIGHT be in trouble and I kept thinking, if I call the doctor they're probably just going to tell me everything is fine, not to worry, to trust the doctors, and go back to sleep. But I also felt like I shouldn't ignore that kind of concern... I mean, WHAT IF he really had been in trouble? I did go back to sleep, though... I truly think I made the wrong decision... luckily, he is
moving again today.
But this raised a question in my mind... how would I know if something had happened to my baby inside of me? I don't have a fetal heart monitor... which I think I may get even though I'm almost through with this pregnancy. But there must be physical signs that something has gone wrong. I mean, eventually, the body would have to get rid of the corpse... there must be physcial symptoms leading up to that, though. Does anybody know what those signs are?
I know this is a morbid topic... I'm sorry to depress anyone... but this is a very real concern, I think. I also think that a lot of very valid concerns are brushed away by doctors who start to take questions and concerns as personal attacks against their judgement and ability and say, "at some point you have to just trust us." So, while I'm at it, I'd like to comment on that note - pregnant women... particularly first-timers... have a TON of questions. All magazines and books and other people are asking us questions and encouraging us to learn more. And when we ask the people who (should) have the answers to our questions, I have found that many times they become weary and "draw the line" on questions after a short while and say "just trust us." Our questions are not a matter of mistrust! That is ridiculous! And I think that any mother-to-be who says to herself (LIKE I DID LAST NIGHT) 'oh, there's probably nothing wrong'... that's WRONG! I don't care how many times you question the safety of your baby during pregnancy, that is a BIG unknown, particularly to those of us who are not experts and know what signs to look for... and you COULD be right so you've GOTTA find out.
Thanks everybody!!!
post #2 of 19
It happens alot that babies have the cord around their neck. They just seem to move thier way into it. My 2 boys both had the cord around their necks at birth and it posed no real threat to them.
If you are really concerned about it, then call your doctor to ease your mind.
The part where you said the baby seem like it had just fallen sounds like the baby dropping which is normal near the end of your pregnancy. The baby just moves further down and the head gets into position lower for birth.
Like I said to ease your mind, go see your doctor.
post #3 of 19
I have never heard of a baby being strangled by the umbilical cord in the womb. I mean, that doesn't mean it has never happened. I have just never heard of that. I am with Jenn though, if you have a concern, call your doctor. If he/she is a nice person, they will be polite and help you find the answer you are looking for. I have called my doctor many, many times about stuff because you are right, especially if it is a first baby, you don't always know what is normal and what is not.
As far as I know, if you don't feel any movement for like 24 hours, you are supposed to call yoru doctor just to be checked. I know it doesn't ALWAYS mean there is a problem but it can indicate one sometimes. AS long as you are still feeling your baby move some, probably more squirming than kicking at this point, then everything is fine.
About the heart monitor, I bought one and could never find my daughters heartbeat. I heard other bodily noises that were mine but never could find hers. I know there are other women here who have had the same problem. So, if you get one and can't find the heartbeat that doesn't mean there is anything wrong with your baby. I totally freaked myself out during my first pregnancy and then ended up throwing the thing away. I got it though at 20 weeks before I had regular movement so i thought for sure my baby had died.
If you have anymore questions please, ask us. Some of us are first timers but many of us are not and between us all, we should be able to answer any questions you might have. Congratulations!
post #4 of 19
I am with Beth and Jenn. We have all been there. It does sound like the baby is just dropped. And the closer you get, the less you will feel the baby move. There is less room in there, and he/she has to save energy for birth. See if you can breath easier now, or eat a little more. That usually means that lightening has occured (dropping).
BUT...... If you feel in your heart that something might be wrong, MAKE your Doctor pay attention to your concerns. If nothing else they can do an Ultrasound just to make sure everything is ok.
post #5 of 19
Thread Starter 
Thank you all for responding!!!
Ummm... I know all that common knowledge about what else it could be... dropped? No. He's still up kicking my breast bone today. I meant when I said it felt like he went limp - he was leaning to one side, sort of, in a very UNusual way. I felt a LOT of pressure that woke me up in the middle of the night just under my left breast at the top of my belly. And it was very hard. Now I ruled out a contraction because it was concentrated on that one spot and it felt hard only at that spot... more like it was a part of his body pushing very hard underneath right there.
Tonight was my last night of lamaze classes and we talked about dropping... it definitely wasn't that.
See, there was that hard pressure at that one spot - his body must have been pushing right there while he was sleeping or something. And lately I've been subconsciously feeling him moving while I sleep and when I realized when I woke up with that pressure that I hadn't felt it at all that night, I started to get a little concerned.

I can't believe they tell a woman to wait TWENTY FOUR hours without feeling any movement to get concerned! I mean, I would think that would be WAY too long and by then making a call would be practically USELESS. For me something more like FOUR hours would be enough!

But my question really remains... I'm trying to keep perspective on the reality of this issue... how WOULD I know if something was really wrong? What symptoms would I feel other than those puzzling absences of movement and strange positioning?

Thank you all SO much for your advice! If anybody still might be able to inform me about what symptoms a woman who is losing her baby might feel, I still would like to know... if only to quench of my curiosity.
post #6 of 19

go to the library

i dont know exactly what the symptoms are for that late of a pg but when I first got pg I checked out a great book called "What to Expect When You're Expecting" and they had all kinds of answers to those kind of questions. I'm really glad I got to read that book because it eased my mind a lot. And it can't turn you away and tell you not to worry. (I feel the same way with my dr also and that bothers me a lot too. I'm expecting my first baby in Dec) I'm pretty sure that they give you the syptoms of a 3rd trimester miscarriage. BUT I made the mistake of worrying too much and thought that i had every symptom they listed. I'm sure that everything is fine tho and it might just be those prelabor jitters but I recommend you get that book cos even tho you are almost through you pg thay have great info on postpartum among other things. Hope I could have been of some help to you!! Good Luck!!! Let us know how everything goes!!


Colleen


EDD 12/31/01
post #7 of 19
I did the same thing with that book. LOL I think it scared me almost as much as it helped me. But this is my 3rd and I am still going to that book every few days.

as far as a place being hard, he may have just moved to an awkward position and you could have been feeling his head or his bottom pressing, other than that I have no idea. I would definately MAKE you doctor listen to you. If he/she is like my first one was, you just have to grab on to the tail of their coats and say "hey I am serious, you need to listen to me". I know sometimes we feel powerless, or intimidated by Doctors but remember one thing. THEY WORK FOR US!! not the other way around.
post #8 of 19
OKay now, don't quote me on this one, but it seems as though I remember reading that if your baby dies in utero, you willlose your pg symptoms. You can lose weight because the amniotic fluid starts to reabsorb, obviously, there would be no movement. Your breasts might change and you just don't feel pg anymore. I think the lack of movement would be the biggest thing though.
It was me who said if the baby doesn't move for 24 hours then you are supposed to call. I read that somewhere. It never came up with my doctor though because my first baby was sooooo active. Ask your doc what his/her procedure is for checking movement. I know you are "supposed" to be able to feel the baby move at least 4 times an hour but babies are only human. They move when they want not when we think they should. I used to count 70+ movements in an hour.So just check with your doctor on that one. And at you next appt, I would ask about symptoms of fetal death. Just say you are curious. At least then you will know for sure. I trust my doctor a heck of a lot more than any book. That is just my advice though. They get tons of questions and won't think you are the least bit weird for asking.
post #9 of 19
Sorry I can't answer about symptoms. I don't know them. But wanted to add what my dr suggested when I felt the baby's movements decrease. Drink chocolate milk. Just drink a glass and watch. Usually it gets them going.

As far as your fears go, I don't think they're abnormal. I actually discussed it with dh the other day. I am 27 wks and this baby is not as active as my first. Maybe kicks 3 times an hour. Anyway, one day this week, it got really active. I had to sit down it was going so crazy. Then it stopped. I said to dh that maybe it was fighting. Like it would if the cord was around it's neck. I panicked. I worried until I felt those kicks hours later.

Simply put, yes, I think it can happen. But why spend the rest of your pregnancy worrying about "what may be"? Enjoy this imminent time. When you have these fears, talk them over with your dr or your friends, but then try and let them go. I know it's hard. But we are here to listen and help.
post #10 of 19
Thread Starter 
I really appreciate all of this comforting! Thanks so much!!!
But let me explain something about myself... I joined the Fire Department at the beginning of my pregnancy before I knew I was pregnant. And I am the kind of person who feels that anything a person can do to help save lives is worthwhile. I don't think we should ease our worries at the risk of "dropping it" when you have a feeling that COULD be right. ...But I definitely appreciate the consolation!
And my question is (more fine-tuned), basically, are there symptoms one would feel very immediately - early enough that if recognized, there would still be time to save the baby's life? And if so, what are they?
I know we need to rest our weary minds about things like this, but... sometimes I think I should have been a doctor... I NEED to know the answers to questions like that all of the time... and I don't have any problems discussing morbid topics like that. (Except when you hear stories like that lady who just drowned her five children in a fit of post-partum depression... that's the kind of presentation of a morbid topic that makes me want to lash out on the person that could do something like that. ...Or do some good old kickboxing! I miss that.)
Oh, and there was someone who said earlier that they'd never heard of the umbilical chord strangling a baby in utero... well, me neither... but it occurs to me that it seems quite conceivable.
Again, I really appreciate everyone's advice... please don't think that I'm driving myself crazy with this... I'm just seeking out the answer to this question... it's not bugging me in any extreme way... it's just something I REALLY would like to know.
post #11 of 19
Thread Starter 
P.S. I have TWO copies of "What To Expect When You're Expecting," one copy of "What to Expect The First Year," and one copy of "Your Baby's First Year." My take on "What To Expect When You're Expecting" is, first of all, that it covers A TON of topics and issues... essentially everything that most mothers think about at least at some point during their pregnancies and sometimes things they'd never think about. However, I find that the direction it leads you in is, yes there are all of these concerns, but most are really unlikely and you shouldn't worry about them. For me, it's too passive sometimes. I'm a "I want to know for sure" kind of person.
post #12 of 19
It sounds to me like you definitely need to write down all of your questions and pay a visit or phone call to your doctor. That way, you will get the definite, conclusive answers you are looking for. Your questions may just be topics that aren't going to be covered in books and as wrong as that is, you may just have to go straight to your best source instead. It is hard to put your mind at ease when you just don't know. Hang in there. Let us know if you find what you are looking for.
post #13 of 19
Thread Starter 
Oh, yeah... I forgot to say that I was planning on taking that advice! I will have to do that... I just have to make sure that I do my best to present the question in the most non-imposing way. I have an appointment Monday afternoon, so I'll wait until then since I've been in the clear with my worries for a couple/few days now.
And I believe you're absolutely right about this being the kind of information you can't find in any book! That would be too morbid and depressing a topic for a writer to address. It's almost political, in a way... how would you expect to find success in a book that makes people feel down? So I think they know that they can't go that route, ya know? And they probably just don't think of addressing it.
Everyone's been so comforting and helpful... I just want to say that again! I'll let you all know what I find out, just like Beth said.
post #14 of 19
sorry i couldnt help, i thought it was a good idea.
post #15 of 19

Signs of Baby Well Being

Hi1 all,

I was just touring the site and came upon you ost, First Time Mom! Congratulations on your pregnancy!

A certain amount of worry is normal, and actually protective! But if your concerns are consistint, and have not been eased, them you should be talking to your health care provider. ESPECIALLY if you are not feeling the baby move.

Feeling your baby move on and off through out the day is a VERY GOOD sign that baby is fine. If you become aware of decreased movment, and it worries you - then PLEASE call your Doctor. Regardless of how many hours, and don't wait 24 hours. (I am conservatine. I suspect a problem? I go have it checked out)

Every OB Doc has their own way of doing things in caring for you. It's important that he knows your concerns. He can tell you how to do fetal counts and so on.

As far as signs to alert you to SEEK MEDICAL CARE -

-decrease fetal movement
-any bleeding from the vagina
-severe headaches
-visual disturbances ( seeing spots,)
-increased blood pressure reading
-swelling in the face, hands
-abdominal pain
-fever
-if you are 36 weeks or less, and having contractions 4 - 5 times an hour, this COULD be preterm labor. But you HAVE to be seen by a Doctor to verify this.

If none of these things are happening, and you feel the baby moving, you are doing just fine,

About the cord around the neck: Many babies are born vaginally with the cord around the next. It sound awful, but actually many babies do just fine. Often the cord is loose and is removed easily by the Doctorat the time of birth.

Again, if you feel the baby move daily this is a VERY good sign of well being.

If you feel that things do not feel right to you, PLEASE see your Doctor. They will listen for the heart beat, you'll hear it, and you will be calmed. Spinning your wheels worrying about what if's can only be stressful. Go to your Doctor for facts and reassurance to ease some of your worrying.

My best,
Lesly
RN,BA,LCCE
post #16 of 19

Woops - I forgot to add ---

Hi all,

And of course, if your water breaks at any time during your pregnancy, call the Doctor.


Lesly
post #17 of 19
Thread Starter 
Oh, thank you, Leslie!!!!!!!
That was wonderful! I definitely feel I should have called my doctor when I was having doubts.
Earlier on I took a course called "All About Infants" and at one point we talked about "baby snatchers" and it got my mind going a little. Being an Architect, my mind is always in the "how can this be done better?" gear. I knew that the hospital I had chosen had the best security system in the area - they don't just tag mother and child and check the tags frequently, they actually put a sensor on the baby's ankle that sounds an alarm if the baby is taken outside of the alarm system's boundaries.
But I thought, well, maybe they will also introduce me to the nurses that will be taking care of my baby and I when I get to the hospital so that I only have to worry about identifying a few nurses.
So at my next visit I presented this to my OB and he took it as though I was paranoid about the baby being stolen in the hospital. The approach he took would have been wonderful if I really had been paranoid about it, but I don't think that I was. And after a while he got frustrated because he was trying to get me to talk about my paranoia when I felt that I really wasn't paranoid.
Since then I've felt that I don't have the kind of relationship with them and we switched to the wrong foot from then on.
Well, thanks again! The abdominal pain seems to me like it makes perfect sense... and the bleeding.
Gotta go get to work.
Thank you, thank you, thank you!!!
post #18 of 19

Baby Safety

Hi there,

Glad I could help. Rest aaure your baby will be safe. I don't think you need to be inttroduced to the nurses who will be helping you with baby, just because there are so many! Also, shifts change, staff schedules can change in a blink of an eye. What you can do, is ask the nurse who she is and ask to see her ID badge.

The security systems are very good in most hospitals. Try to relax soon to be Mom. Stress and anxiety are not good for you OR the baby.

You are an educated woman, you are not building a house or something that needs to be inproved. The mircle of life is as perfect as anyone of us can get or even imagine! Doctors don't even know what causes labor to start. Even with all the best tests in the world. This is one part of your life that no one can control, not even you.

Take comfort in knowing that many beautiful babies are born everyday and go home safely - in Mom's arms.

My best,
Lesly
post #19 of 19
Thread Starter 
Oh, I know all about the nurses' shift changes and everything... that's exactly what my doctor told me (after he psychoanalyzed me about paranoia ).
And I am relaxed... I think... even though I do come off sounding like I am very anxious and nervous.
Your words are so wonderful sounding! You have a very calming effect. Personally, I am most calmed knowing the facts.
I had the first of my weekly visits today and I was examined by the new midwife in the Office. (I interviewed this Doctor early in my pregnancy after I had been to my regular GYN and felt that relating to her just wasn't the same as I had remembered it had been. At that time it was Dr. Altman and one midwife, Allison.) She was very easy to talk to! First she did a strep culture, then she asked if I had any questions or anything to talk about. So I explained the incident that had occurred and how and why I had become concerned that he could have gotten strangled in the umbilical chord... how Steve and I had both been born with the umbilical chord wrapped around our necks......
She said 25% of babies are born with the umbilical chord around their necks - that's pretty common - but it's rare that it actually causes any problems.
She also said that in the uterus, the baby is constantly floating around like he is in outerspace and is always looping in and out of the umbilical chord - it's a constant, daily, hourly (and so forth) event, but it rarely tangles around the baby. And the reason is that the baby and the umbilical chord are so slippery that it is like a piece of spaghetti... if you tie it in a loop and let go, the spaghetti relaxes and opens up again because it is so slippery. She compared it to a piece of rope - since it is dry, if you tie a knot in the rope, it will stay knotted.
Then we talked about symptoms a woman might feel if the baby was actually in distress. She said you may or may not feel anything. So, apparently, there's a fair likelihood that you would feel nothing at all and that, unfortunately, is the way that things sometimes go.
Well, I don't know if I'm all the way on that board... that we should feel that it could happen and we wouldn't be able to do anything about it... but at least the information she gave me gave me enough insight to reassure me that the chances are that nothing will happen to my baby.

And, if anyone is also interested, I brought up the reality of a baby possibly drowning during water birth. (When I went to the hospital to meet with a woman to prepare for me to have a water birth, she told me that they had to warn me that there had been ONE incident where a baby had drowned during a water birth.) So the midwife said, did she also tell you how that happened? Of course, I said no. She said that when water births were new, experts believed that the baby could stay under water for any length of time and they would not take their first breath of air until they came out of the water (like being in the womb with the amniotic fluid). A baby is stimulated by the air hitting their skin to take their first breath. However they have determined since then that they are not only stimulated by the air, but if they stay under water long enough, they will try to take a breath. So they now have "the ten second rule" she told me... even though it usually does not take a whole ten seconds to bring the baby out of the water and onto the mother's chest.
She further explained that there is nothing to worry about when the baby's head is out of the uterus, but the rest of the body is still in the uterus because the lungs are still inside the mother's body and still acting as though they are in the womb (because they still are) AND because the lungs are compressed by the pelvis and vaginal area... they cannot expand their lungs.
In the uterus, babies do not breathe in the same way that we do. Their air sacs are compressed until they take their first breath. The lungs do practice the movement to prepare the baby to take its first breath (and subsequent breaths), but this is only a practice for the baby's body as braxton hicks are "practice contractions" for a mother almost due. The oxygen is taken in through the umbilical chord all the way through until the baby's body is completely outside of the uterus. And the few seconds that the baby is under water, but not in the uterus, they have the reflex to not try to breath... and they also are not stimulated quite yet.

Thanks everybody for all your help and advice and comforting! Now we all have some more food for thought.
Good luck to all of you with your little ones and unborn babies!
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